Epley's Maneuver in Benign Paroxysmal Positional Vertigo: Series of Cases Reports

Abstract

Introduction:Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vertigo in women. Objective:To report the result of Epley's maneuver when treating BPPV patients. Method:Study of a series of 9-month-long cases of five female individuals aged between 46 and 64 with BPPV, who were submitted to Epley's maneuver at a scholar clinics, having the positive Dix-Hallpike maneuver at the first consultation as an inclusion criterion, and evaluations were repeated in a six and nine-month term. Results:Only one Epley's maneuver, as the only therapeutic procedure, was enough to eliminate nystagmus and positional vertigo in 4 patients, who did not show a positive Dix-Hallpike maneuver in the two reevaluations performed. Only one patient showed BPPV in the first reevaluation of the study term, and nystagmus reoccurred in the second evaluation only. Conclusion:Epley's repositioning maneuver proved to be a simple and effective BPPV treatment method for this study's patients at length.

Aspectos Funcionais da Manobra de Reposição Otolítica: Revisão de Literatura

“…Marchiori et al 31 realizaram relaxamento e terapia manual aplicados na região cervical, e, em seguida, foram passadas recomendações sobre como dormir sentado ou com elevação do tronco superior em 45º com poltrona reclinada, cunhas ou usar dois travesseiros por 48 horas após as manobras, e evitar por sete dias movimentos bruscos e os que provocavam a tontura; não dormir sobre a orelha afetada e não olhar para cima ou para baixo, corroborando ao estudo de Melo Neto et al 32 .…”